Provider Demographics
NPI:1093300410
Name:TANTON, SARAH ANN (FNP-C)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ANN
Last Name:TANTON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2965 HARRISON ST STE 211
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77702-1149
Mailing Address - Country:US
Mailing Address - Phone:409-899-8501
Mailing Address - Fax:409-899-8510
Practice Address - Street 1:2965 HARRISON ST STE 211
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702-1149
Practice Address - Country:US
Practice Address - Phone:409-899-8501
Practice Address - Fax:409-899-8510
Is Sole Proprietor?:No
Enumeration Date:2021-03-08
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX813156163WG0100X
TX1032054208600000X, 363LF0000X, 2086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
No163WG0100XNursing Service ProvidersRegistered NurseGastroenterology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily